Minutes 12.01.11

Minutes 12.01.11

University of Virginia School of Medicine
Curriculum Committee
Minutes – 12/01/11

Pediatric Conference Room, 4:00 p.m. 

Present (underlined) were: Gretchen Arnold, Robert Bloodgood, Megan BrayChris BurnsDonna Chen, Eugene Corbett, Thomas Gampper, Donald Innes (Chair), John Jackson, Keith Littlewood, Nancy McDanielMohan NadkarniBart NathanLinda Waggoner-FountainBill WilsonMary Kate WordenThomas Jenkins, Long Vinh,  Sam Zhao, Courtney Chou, Debra Reed  (secretary)

Present (underlined): A quorum was present.

  1. GI System Review - The System Leader response from Drs. Behm and Shah listed goals for the February/March 2012 GI System. The Curriculum Committee approved and will follow up after the 2012 session.



    Strength of System
    The GI system leaders have worked diligently to provide a system that is integrated and flows well during the system duration.  We have arranged the weeks to cover four general themes (luminal- upper GI, luminal- lower GI, liver, pancreaticobiliary).  Each week generally starts with the basic sciences, builds onto clinical engagement activities and ends with active learning problem set, small group discussions, and/or Team Based Learning session to solidify material learned during the week.

    Since the inception of the NxGen curriculum we initiated combined sessions pairing basic science faculty in several areas with clinicians to help provide an informative and interactive learner - centered experience.    

    Our system utilizes faculty from over 14 different departments with 67 faculty (GI and Hepatology, Pharmacology, Physiology, Anatomy, Pathology, Pediatrics, Surgery, Radiology, Internal Medicine, Bioethics, Microbiology, Immunology, Genetics, and Dentistry)

    Our system was very well received by the students in its first year and we hope to continue that success and improve on the short-comings we note below.

    Areas for improvement
    Increase active learning methodologies and learner-centered curriculum towards 60% goal.
    Curriculum observers reported 29.24% and students report 51.11% active learning in 2011. We plan to increase active learning in the GI System by taking the following action steps:
         
  2. Clerkship Update from the Clinical Medicine Committee (Bill Wilson)

    The “overlap period” in the clerkship year that will begin Feb. 27, 2012 and last for 8 weeks was a primary topic of discussion.  The clerkships were encouraged to plan as much as possible in advance. The rosters for both Block 6 for the class of 2013 and Block 1 for the class of 2014 are available through OASIS, and has allowed for some tentative scheduling of specific students.

    Passports and the “ED-2” list. John Jackson reported that UVA has been in contact with the developer of OASIS, and an electronic version of the passports that could be signed off on an iPhone or iTouch may be available by the start of the upcoming clerkship year. This would allow for attending and resident physicians to “sign off” on passport items using an electronic method and could eliminate the need for the paper passports. At present, the content of the passports for the individual clerkships would remain the same, although the potential for revising the passports and possibly merging the passports and the ED-2 lists needs to be discussed. The future may bring an “integrated passport” that would follow the student longitudinally through the clerkships.  John Jackson has compiled the ED-2 lists from all of the clerkships and this will be circulated to determine if there are gaps or unnecessary redundancies in the lists.

    Expectations for skills acquisition on the clerkships and prior to graduation
    Several skills that were formerly attainable during the clerkships are much less so now, due in part to changes in technology and the availability of different therapeutic modalities.  The list that was compiled by Dr. Corbett may be helpful in defining what skills should be taught and mastered, and when in the curriculum should a given skill be taught.

    The Transition Course for the Class of 2014 will take place Feb 13-24, 2012, and will include EPIC training for those students as well as some of the workshops that currently occur during clerkships. Drs. Keeley, McDaniel and Peterson are organizing the course.

  3. Clerkship Learning Objectives There is a need to more specifically link the learning objectives for the clerkships to assessments. This may be done using online quiz assessments of knowledge, but the assessments of clinical skills and attitudes may be more difficult to achieve. An “OSCE” at mid-year, possibly tailored to a given student’s clerkship exposures, was considered.

  4. Immediate feedback follow-up – There were no problems from the pre-Thanksgiving examination. Students were very appreciative.

 

Donald J. Innes, Jr., M.D.
dmr